Heights University Hospital

All Charges

Charge

Type

Setting

Price

PLATE LISFRANC MEDIUM

Facility

$10,015.00

Hospital Charge Code	270669553
Hospital Revenue Code	278
Min. Negotiated Rate	$1,502.25
Max. Negotiated Rate	$2,423.63
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,003.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,423.63
Rate for Payer: Qualcare PPO/HMO/WC	$1,502.25

PLATE LISS RIGHT 13 HOLE FEMUR

Facility

$6,804.00

Hospital Charge Code	270669725
Hospital Revenue Code	278
Min. Negotiated Rate	$1,020.60
Max. Negotiated Rate	$3,402.00
Rate for Payer: Aetna Commercial	$2,041.20
Rate for Payer: Aetna Medicare Advantage	$2,041.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,735.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,735.02
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,735.02
Rate for Payer: Cigna Commercial	$3,402.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,646.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.60

PLATE LISS RIGHT 13 HOLE FEMUR

Facility

$6,804.00

Hospital Charge Code	270669725
Hospital Revenue Code	278
Min. Negotiated Rate	$1,020.60
Max. Negotiated Rate	$1,646.57
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$1,360.80
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,646.57
Rate for Payer: Qualcare PPO/HMO/WC	$1,020.60

PLATE LK ANT CALCA 2.7X56MML

Facility

$4,492.00

Service Code	HCPCS C1713
Hospital Charge Code	270693304
Hospital Revenue Code	278
Min. Negotiated Rate	$673.80
Max. Negotiated Rate	$1,087.06
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$898.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,087.06
Rate for Payer: Qualcare PPO/HMO/WC	$673.80

PLATE LK ANT CALCA 2.7X56MML

Facility

$4,492.00

Service Code	HCPCS C1713
Hospital Charge Code	270693304
Hospital Revenue Code	278
Min. Negotiated Rate	$673.80
Max. Negotiated Rate	$2,246.00
Rate for Payer: Aetna Commercial	$1,347.60
Rate for Payer: Aetna Medicare Advantage	$1,347.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$1,145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$1,145.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$898.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$1,145.46
Rate for Payer: Cigna Commercial	$2,246.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1,087.06
Rate for Payer: Qualcare PPO/HMO/WC	$673.80

PLATE LKG PAT SS 3H SM 2.7 VA

Facility

$10,419.75

Service Code	HCPCS C1713
Hospital Charge Code	270694962
Hospital Revenue Code	278
Min. Negotiated Rate	$1,562.96
Max. Negotiated Rate	$5,209.88
Rate for Payer: Aetna Commercial	$3,125.93
Rate for Payer: Aetna Medicare Advantage	$3,125.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$2,657.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$2,657.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,083.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$2,657.04
Rate for Payer: Cigna Commercial	$5,209.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,521.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,562.96

PLATE LKG PAT SS 3H SM 2.7 VA

Facility

$10,419.75

Service Code	HCPCS C1713
Hospital Charge Code	270694962
Hospital Revenue Code	278
Min. Negotiated Rate	$1,562.96
Max. Negotiated Rate	$2,521.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$2,083.95
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2,521.58
Rate for Payer: Qualcare PPO/HMO/WC	$1,562.96

PLATE LKG SPINAL LP PROLINK

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698824
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$60.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

PLATE LKG SPINAL LP PROLINK

Facility

$250.00

Service Code	HCPCS C1713
Hospital Charge Code	270698824
Hospital Revenue Code	278
Min. Negotiated Rate	$37.50
Max. Negotiated Rate	$125.00
Rate for Payer: Aetna Commercial	$75.00
Rate for Payer: Aetna Medicare Advantage	$75.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$63.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$50.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$63.75
Rate for Payer: Cigna Commercial	$125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$60.50
Rate for Payer: Qualcare PPO/HMO/WC	$37.50

PLATE LOCKING 10 HOLE

Facility

$3,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270688224
Hospital Revenue Code	278
Min. Negotiated Rate	$581.25
Max. Negotiated Rate	$937.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$775.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$937.75
Rate for Payer: Qualcare PPO/HMO/WC	$581.25

PLATE LOCKING 10 HOLE

Facility

$3,875.00

Service Code	HCPCS C1713
Hospital Charge Code	270688224
Hospital Revenue Code	278
Min. Negotiated Rate	$581.25
Max. Negotiated Rate	$1,937.50
Rate for Payer: Aetna Commercial	$1,162.50
Rate for Payer: Aetna Medicare Advantage	$1,162.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$988.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$775.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$988.12
Rate for Payer: Cigna Commercial	$1,937.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$937.75
Rate for Payer: Qualcare PPO/HMO/WC	$581.25

PLATE LOCKING DISTAL TI 5 HOLE

Facility

$3,500.00

Hospital Charge Code	270693453
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$1,750.00
Rate for Payer: Aetna Commercial	$1,050.00
Rate for Payer: Aetna Medicare Advantage	$1,050.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$892.50
Rate for Payer: Cigna Commercial	$1,750.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

PLATE LOCKING DISTAL TI 5 HOLE

Facility

$3,500.00

Hospital Charge Code	270693453
Hospital Revenue Code	278
Min. Negotiated Rate	$525.00
Max. Negotiated Rate	$847.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$700.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$847.00
Rate for Payer: Qualcare PPO/HMO/WC	$525.00

PLATE LOCKING STRAIGHT SS 10H

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270667332
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$1,487.50
Rate for Payer: Aetna Commercial	$892.50
Rate for Payer: Aetna Medicare Advantage	$892.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$758.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$758.62
Rate for Payer: Cigna Commercial	$1,487.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

PLATE LOCKING STRAIGHT SS 10H

Facility

$2,975.00

Service Code	HCPCS C1713
Hospital Charge Code	270667332
Hospital Revenue Code	278
Min. Negotiated Rate	$446.25
Max. Negotiated Rate	$719.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$595.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$719.95
Rate for Payer: Qualcare PPO/HMO/WC	$446.25

PLATE LOCKING STRAIGHT SS 12H

Facility

$3,475.00

Hospital Charge Code	270671900
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$840.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

PLATE LOCKING STRAIGHT SS 12H

Facility

$3,475.00

Hospital Charge Code	270671900
Hospital Revenue Code	278
Min. Negotiated Rate	$521.25
Max. Negotiated Rate	$1,737.50
Rate for Payer: Aetna Commercial	$1,042.50
Rate for Payer: Aetna Medicare Advantage	$1,042.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$886.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$695.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$886.12
Rate for Payer: Cigna Commercial	$1,737.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$840.95
Rate for Payer: Qualcare PPO/HMO/WC	$521.25

PLATE LOCKING STRAIGHT SS 4H

Facility

$2,250.00

Hospital Charge Code	270671896
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$1,125.00
Rate for Payer: Aetna Commercial	$675.00
Rate for Payer: Aetna Medicare Advantage	$675.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$573.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$573.75
Rate for Payer: Cigna Commercial	$1,125.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

PLATE LOCKING STRAIGHT SS 4H

Facility

$2,250.00

Hospital Charge Code	270671896
Hospital Revenue Code	278
Min. Negotiated Rate	$337.50
Max. Negotiated Rate	$544.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$450.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$544.50
Rate for Payer: Qualcare PPO/HMO/WC	$337.50

PLATE LOCKING STRAIGHT SS 6H

Facility

$2,375.00

Hospital Charge Code	270671897
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$1,187.50
Rate for Payer: Aetna Commercial	$712.50
Rate for Payer: Aetna Medicare Advantage	$712.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$605.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$605.62
Rate for Payer: Cigna Commercial	$1,187.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

PLATE LOCKING STRAIGHT SS 6H

Facility

$2,375.00

Hospital Charge Code	270671897
Hospital Revenue Code	278
Min. Negotiated Rate	$356.25
Max. Negotiated Rate	$574.75
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$475.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$574.75
Rate for Payer: Qualcare PPO/HMO/WC	$356.25

PLATE LOCKING STRAIGHT SS 7H

Facility

$2,625.00

Hospital Charge Code	270671898
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$635.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

PLATE LOCKING STRAIGHT SS 7H

Facility

$2,625.00

Hospital Charge Code	270671898
Hospital Revenue Code	278
Min. Negotiated Rate	$393.75
Max. Negotiated Rate	$1,312.50
Rate for Payer: Aetna Commercial	$787.50
Rate for Payer: Aetna Medicare Advantage	$787.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$669.38
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$525.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$669.38
Rate for Payer: Cigna Commercial	$1,312.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$635.25
Rate for Payer: Qualcare PPO/HMO/WC	$393.75

PLATE LOCKING STRAIGHT SS 8H

Facility

$2,750.00

Hospital Charge Code	270671899
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$1,375.00
Rate for Payer: Aetna Commercial	$825.00
Rate for Payer: Aetna Medicare Advantage	$825.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$701.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$701.25
Rate for Payer: Cigna Commercial	$1,375.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

PLATE LOCKING STRAIGHT SS 8H

Facility

$2,750.00

Hospital Charge Code	270671899
Hospital Revenue Code	278
Min. Negotiated Rate	$412.50
Max. Negotiated Rate	$665.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$550.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$665.50
Rate for Payer: Qualcare PPO/HMO/WC	$412.50

Know your out-of-pocket cost for care.

All Charges